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  1. Steffan Arthur Griffin1,
  2. Ronan Kearney2,
  3. Josh Heerey3,
  4. Eoin Cunniffe4
  1. 1College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
  2. 2Royal College of Surgeons in Ireland, Dublin, Ireland
  3. 3La Trobe University, La Trobe Sport and Exercise Medicine Research Centre, Melbourne, Victoria, Australia
  4. 4University College Dublin, Dublin, Ireland
  1. Correspondence to Steffan Arthur Griffin; steffangriffin{at}gmail.com

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Increasing recreational physical activity in patients with chronic low back pain: a pragmatic controlled clinical trial

Journal of Orthopaedic & Sports Physical Therapy. 2017;47:57–66

Chronic low back pain (CLBP) treatment guidelines recommend introducing and maintaining physical activity because it improves function, speeds return to work and prevents future pain in patients. But it's hard to get patients to do it! This paper encourages us to consider behaviour-change theory (enhanced transtheoretical model intervention (ETMI)). This intervention was designed to enhance reassurance, and tackle any fear of movement through an overarching approach that matched the patients' readiness to engage in change.

Disability was the primary outcome of this multicentre, prospective, controlled trial, that used this model versus usual physiotherapy for CLBP. The study group included 189 patients who had CLBP for more than 3 months. At 12 months, the ETMI group (n=94) demonstrated significant improvements in disability in comparison to the control group (n=95). The difference in reduction in group averages on the Roland Morris Disability Questionnaire was 2.7, indicating that the change was clinically meaningful. …

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